Jacob A Clark in Alexandria - Ophthalmology

Jacob A Clark - NPI 1164464806

Jacob A Clark is a Ophthalmology in Alexandria, Virginia. Jacob A Clark practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jacob A Clark is 1164464806. The last update date is 2010-01-21.

Jacob A Clark's current location address is 411 N Washington St, Alexandria, Virginia. You can contact this provider via phone number 7035485588 and fax number 7035491599. The mailing address for Jacob A Clark is 411 N Washington St, Alexandria, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob A Clark
Address 411 N Washington St, Alexandria, Virginia
Phone Number 7035485588
Fax Number 7035491599
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1164464806
Provider Enumeration Date 2006-06-10
Last Updated Date 2010-01-21

Provider Mailing Address Detail

Address 411 N Washington St
City Alexandria
State Virginia (VA)
Post Code 223142311
Phone Number 7035485588
Fax Number 7035491599

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 101041044
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6375570 VA --

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FAQs about Jacob A Clark

What is the unique 10-digit identifier code issued to Jacob A Clark by the Centers for Medicare & Medicaid Services?

The Jacob A Clark has been assigned the NPI (National Provider Identifier) 1164464806 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jacob A Clark is located?

The Jacob A Clark is situated at the following address: 411 N Washington St, Alexandria, VA, 223142311.

What is Jacob A Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jacob A Clark is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.

When did the Jacob A Clark receive its 1164464806?

The Jacob A Clark was issued its 1164464806 on 2006-06-10, which is the date when the organization was assigned this unique identifier.

When was the information regarding Jacob A Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jacob A Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-21.

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